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These conditions include cardiovascular disease (such as coronary artery disease, stroke, life-threatening arrhythmias, congestive heart failure, or untreated hypertension), advanced arteriosclerosis, hyperthyroidism, glaucoma, psychiatric agitation or psychosis, recent or concurrent MAOI therapy (within 14 days), history of drug abuse, pregnancy, breastfeeding, pediatric patients under 16, and concurrent use of other weight-loss medications

However, standard practice recommends using reconstituted peptide solutions within 7-14 days when stored at 2-8C, or maintaining frozen aliquots for longer-term storage

Bibcode:2020ChRv..120.4707F

Women should avoid it entirely

ORF9b suppresses the type I interferon immune response by interacting with the mitochondrial import receptor subunit TOM70